National Core for Neuroethics, Division of Neurology, Department of Medicine, The University of British Columbia, Vancouver, Canada.
J Head Trauma Rehabil. 2012 May-Jun;27(3):216-21. doi: 10.1097/HTR.0b013e3182229b6c.
The Centers for Disease Control and Prevention estimates that 1.6 to 3.8 million traumatic brain injuries that occur each year are related to sports injuries. New research has broadened the understanding of the acute and chronic pathophysiology of concussion associated with brain injury, and recent advances in diagnostic capabilities with neuroimaging are leading to new ethical questions around sport and care of the head-injured athlete. In this review, we synthesize the current literature on neuroimaging for assessing concussed athletes and explore ethical issues in the context of return to play, short- and long-term neurologic health effects following concussion and resource allocation that are emerging with new implications as neurotechnology becomes an increasingly powerful tool on the playing field of health.
疾病控制与预防中心估计,每年有 160 万至 380 万例与运动损伤相关的创伤性脑损伤。新的研究拓宽了对与脑损伤相关的脑震荡的急性和慢性病理生理学的理解,神经影像学诊断能力的最新进展也引发了与运动和头部受伤运动员护理相关的新的伦理问题。在这篇综述中,我们综合了目前关于评估脑震荡运动员的神经影像学的文献,并探讨了在重返赛场、脑震荡后的短期和长期神经健康影响以及资源分配方面的伦理问题,随着神经技术在健康领域的竞技场上变得越来越强大,这些问题也随之产生了新的影响。